| Organization Name: | RAJ CLINICS PROFESSIONAL SERVICES CORPORATION |
| NPI Number: | 1174793632 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SITHA GITA KALAPATAPU (PRESIDENT) |
| Mailing Address: | 6 Chase Park Logansport |
| State: | IN US |
| Postal Code: | 469471553 |
| Phone Number: | 5747321166 |
| Fax Number: | 5747534117 |
| NPI Enumeration Date: | 03/11/2008 |
| NPI Last Update Date: | 10/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |